84 results on '"Cristina, Bianchi"'
Search Results
2. Evaluation of C-C Motif Chemokine Receptor 5 (CCR5) as a Sample Adequacy Control in HPV Molecular Diagnostics
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Ruth C. Njoku, Marianna Martinelli, Chiara Giubbi, Sofia De Marco, Barbara Torsello, Morena d’Avenia, Manuela Sironi, Cristina Bianchi, and Clementina E. Cocuzza
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C-C Motif Chemokine Receptor 5 (CCR5) ,Human Papillomavirus (HPV) ,sample adequacy control (SAC) ,OncoPredict HPV Quality Control (QC) assay ,Medicine (General) ,R5-920 - Abstract
Background: Reliable Human Papillomavirus (HPV) testing and genotyping are essential for quality assurance in HPV-based primary screening, disease management and for monitoring the impact of HPV vaccination. The clinical validation of HPV molecular diagnostic assays has significantly contributed to these objectives; however, little emphasis has been placed on assuring sample quality. This study aimed to evaluate the accuracy of sample cellularity assessment using the C-C Motif Chemokine Receptor 5 (CCR5) gene target as a marker of sample adequacy in molecular diagnostics. Methods: Jurkat cell line samples were counted using both a Thoma cell-counting chamber and Fluorescence-Activated Cell Sorting (FACS). Jurkat cell line samples at three different concentrations were subsequently evaluated using the OncoPredict HPV Quality Control (QC) real-time PCR assay, employing CCR5 for molecular cellularity quantification. Results: The cellularity values obtained were comparable across the three different methods for all dilutions of the cell line tested. Conclusions: The results obtained from this study show that CCR5 represents a promising molecular marker for the accurate quantification of sample cellularity, confirming its use as a reliable sample adequacy control, thus reducing the risk of “false-negative” results.
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- 2024
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3. Unlocking the role of dorsal hippocampal α4β2 nicotinic acetylcholine receptors in Ethanol-Induced conditioned place preference in mice
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Palombo, Paola, Maeda, Roberta, Riberti Zaniboni, Caroline, Antonagi Engi, Sheila, Yokoyama, Thais, Bonetti Bertagna, Natalia, Anesio, Augusto, Cristina Bianchi, Paula, Righi, Thamires, Emily Boaventura Tavares, Gabrielle, Souccar, Caden, da Silva, Fernando Bezerra Romualdo, and Cardoso Cruz, Fabio
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- 2024
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4. IMPACT OF CHRONIC ETHANOL EXPOSURE ON INHIBITORY MODULATION OF CRF1-EXPRESSING NEURONS IN THE MOUSE VENTRAL BED NUCLEUS OF THE STRIA TERMINALIS
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Paula Cristina Bianchi, Angela Snyder, Amanda Roberts, Valentina Vozella, Fabio Cruz, and Marisa Roberto
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Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Published
- 2023
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5. UNRAVELING THE VENTRAL HIPPOCAMPAL PROTEOME: UNDERSTANDING THE MECHANISMS OF CONTEXT-INDUCED ETHANOL SEEKING BEHAVIOR
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Alexia Anjos-Santos, Paula Cristina Bianchi, Cristiane Aparecida Favoretto, Ben Rodolpho, Karolina Fernandes-Beraldo, Emidio Beraldo-Neto, Maria Aparecida Juliano, and Fabio Cruz
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Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Published
- 2023
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6. Glucocorticoid receptors regulate central amygdala GABAergic synapses in Marchigian-Sardinian alcohol-preferring rats
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Sophia Khom, Vittoria Borgonetti, Valentina Vozella, Dean Kirson, Larry Rodriguez, Pauravi Gandhi, Paula Cristina Bianchi, Angela Snyder, Roman Vlkolinsky, Michal Bajo, Christopher S. Oleata, Roberto Ciccocioppo, and Marisa Roberto
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Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 ,Neurology. Diseases of the nervous system ,RC346-429 ,Neurophysiology and neuropsychology ,QP351-495 - Abstract
Impairments in the function of the hypothalamic-pituitary-adrenal (HPA) axis and enhanced glucocorticoid receptor (GR) activity in the central amygdala (CeA) are critical mechanisms in the pathogenesis of alcohol use disorder (AUD). The GR antagonist mifepristone attenuates craving in AUD patients, alcohol consumption in AUD models, and decreases CeA γ-aminobutyric acid (GABA) transmission in alcohol-dependent rats. Previous studies suggest elevated GR activity in the CeA of male alcohol-preferring Marchigian-Sardinian (msP) rats, but its contribution to heightened CeA GABA transmission driving their characteristic post-dependent phenotype is largely unknown.We determined Nr3c1 (the gene encoding GR) gene transcription in the CeA in male and female msP and Wistar rats using in situ hybridization and studied acute effects of mifepristone (10 μM) and its interaction with ethanol (44 mM) on pharmacologically isolated spontaneous inhibitory postsynaptic currents (sIPSCs) and electrically evoked inhibitory postsynaptic potentials (eIPSPs) in the CeA using ex vivo slice electrophysiology.Female rats of both genotypes expressed more CeA GRs than males, suggesting a sexually dimorphic GR regulation of CeA activity. Mifepristone reduced sIPSC frequencies (GABA release) and eIPSP amplitudes in msP rats of both sexes, but not in their Wistar counterparts; however, it did not prevent acute ethanol-induced increase in CeA GABA transmission in male rats.In msP rats, GR regulates CeA GABAergic signaling under basal conditions, indicative of intrinsically active GR. Thus, enhanced GR function in the CeA represents a key mechanism contributing to maladaptive behaviors associated with AUD.
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- 2023
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7. Reflexos da formação interprofissional na trajetória profissional: percepção de egressas de Terapia Ocupacional
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Pamela Cristina Bianchi and Lara Teixeira Rosan
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Terapia ocupacional ,Educação interprofissional ,Egressos ,Relações interprofissionais ,Public aspects of medicine ,RA1-1270 - Abstract
Resumo A Educação Interprofissional em Saúde (EIP) constitui-se como uma estratégia para formação de profissionais capazes de trabalhar em equipe por meio de competências colaborativas e da aprendizagem baseada em interações. O Projeto Pedagógico da Universidade Federal de São Paulo (Unifesp) baseia-se nos princípios da EIP para a formação de profissionais, dentre eles, terapeutas ocupacionais. Objetivou-se compreender a influência da formação interprofissional na trajetória profissional de terapeutas ocupacionais egressas da Unifesp. Pela abordagem qualitativa, produziram-se informações por aplicação de formulário on-line semiestruturado, analisado posteriormente com base na Análise Temática. Os resultados revelaram que a formação interprofissional possibilita segurança às profissionais nas práticas colaborativas, no fomento ao trabalho em equipe e no desenvolvimento de ações que visam à integralidade do cuidado. Notou-se, porém, dificuldades no reconhecimento da identidade profissional da Terapia Ocupacional e na ação conjunta com profissionais formados em perspectiva disciplinar.
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- 2023
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8. Water-level fluctuations lead to changes in the diet of an omnivorous fish in a floodplain
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Isadora Cristina Bianchi-Costa, Bárbara Angélio Quirino, Ana Lúcia Paz Cardozo, Kátia Yasuko Yofukuji, Matheus Henrique Ferreira Aleixo, and Rosemara Fugi
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Body condition ,Feeding activity ,Hydrological cycle ,Trachelyopterus galeatus ,Trophic ecology ,Zoology ,QL1-991 - Abstract
Abstract The hydrological regime leads to fluctuations in the availability of food resources for fish, which may reflect in their diet variation. Our main goal was to analyze the relationship between water-level fluctuations and the diet and the body condition of Trachelyopterus galeatus in the Upper Paraná River floodplain. The fish used in the study were sampled quarterly along nine years, at nine sampling stations. Our results showed that diet of T. galeatus varied in response to oscillations in the hydrometric level, with the consumption of terrestrial invertebrates being positively related to hydrometric level, while the consumption of aquatic invertebrates was negatively related. The trophic niche breadth and feeding activity were not affected by hydrometric level, but the fish body condition was positively affected. The high food plasticity allows T. galeatus to consume the most available resources (e.g., terrestrial invertebrates in high water levels), which probably contributed to the increase in its body condition in higher hydrometric levels. In summary, the hydrological dynamic is fundamental for the diet variation of omnivorous fish, which can take advantage of the resource availability according to the hydrometric level, increasing its body condition when allochthonous resources as terrestrial invertebrates are supposed to be more available.
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- 2023
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9. The IGFBP3/TMEM219 pathway regulates beta cell homeostasis
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Francesca D’Addio, Anna Maestroni, Emma Assi, Moufida Ben Nasr, Giovanni Amabile, Vera Usuelli, Cristian Loretelli, Federico Bertuzzi, Barbara Antonioli, Francesco Cardarelli, Basset El Essawy, Anna Solini, Ivan C. Gerling, Cristina Bianchi, Gabriella Becchi, Serena Mazzucchelli, Domenico Corradi, Gian Paolo Fadini, Diego Foschi, James F. Markmann, Emanuela Orsi, Jan Škrha, Maria Gabriella Camboni, Reza Abdi, A. M. James Shapiro, Franco Folli, Johnny Ludvigsson, Stefano Del Prato, Gianvincenzo Zuccotti, and Paolo Fiorina
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Science - Abstract
In this new study the Authors demonstrated that the IGFBP3/TMEM219 pathway is a physiological regulator of pancreatic beta cell homeostasis and it is dysregulated in diabetes. IGFBP3/TMEM219 targeting may therefore serve as a therapeutic option in diabetes.
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- 2022
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10. High glucose induces an activated state of partial epithelial-mesenchymal transition in human primary tubular cell cultures.
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Barbara Torsello, Sofia De Marco, Silvia Bombelli, Ingrid Cifola, Ivana Morabito, Lara Invernizzi, Chiara Meregalli, Nicola Zucchini, Guido Strada, Roberto A Perego, and Cristina Bianchi
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Medicine ,Science - Abstract
Tubulointerstitial fibrosis is observed in diabetic nephropathy. It is still debated whether tubular cells, undergoing epithelial-mesenchymal transition (EMT) in high glucose (HG) conditions, may contribute to interstitial fibrosis development. In this study, we investigated the phenotypic and molecular EMT-like changes and the alteration of inflammatory and fibrogenic secretome induced by HG in human primary tubular cell cultures. Taking advantage of this in vitro cell model composed of proximal and distal tubular cells, we showed that HG-treated tubular cells acquired a fibroblast-like morphology with increased cytoplasmic stress fibers, maintaining the expression of the epithelial markers specific of proximal and distal tubular cells. HG increased Snail1, miRNA210 and Vimentin mesenchymal markers, decreased N-cadherin expression and migration ability of primary tubular cells, while E-cadherin expression and focal adhesion distribution were not affected. Furthermore, HG treatment of tubular cells altered the inflammatory cytokine secretion creating a secretome able to enhance the proliferation and migration of fibroblasts. Our findings show that HG promotes an activated state of partial EMT in human tubular primary cells and induces a pro-inflammatory and pro-fibrogenic microenvironment, supporting the active role of tubular cells in diabetic nephropathy onset.
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- 2023
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11. Soybean seed size: how does it affect crop development and physiological seed quality?
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Mariane Cristina Bianchi, Nelson Júnior Dias Vilela, Everson Reis Carvalho, Raquel Maria de Oliveira Pires, Heloisa Oliveira dos Santos, and Adriano Teodoro Bruzi
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Glycine max L. ,seed diameter ,sieve classification ,vigor ,yield ,Plant culture ,SB1-1110 - Abstract
Abstract: The size of soybean seeds needs further study because its relationships with physiological quality, field establishment, and yield are controversial. The aim of this study was to evaluate the effects of seed size on soybean establishment and seed physiological quality. In the field, a 2x3x3 factorial design was used, with two cultivars (M 5947 IPRO and 59HO124 IPRO), three seed sizes (5.5, 6.0, and 6.5 mm), and three sowing densities (280,000, 320,000, and 360,000 plants.ha-1). Agronomic traits and grain yield were evaluated. After harvest, only seeds from plots with a population of 320,000 plants were classified by size using circular sieves with 5.5-mm, 6.0-mm, 6.5-mm, and 7.0-mm mesh sizes. For the evaluation of physiological quality, a 2x4 factorial design was applied, with two cultivars and four seed sizes. Germination, seedling emergence, accelerated aging, seedling dry matter, and emergence speed index were evaluated. Smaller seeds gave rise to shorter plants with a lower first pod insertion height. Larger seeds had higher physiological quality. The M 5947 IPRO cultivar showed better seed performance and quality.
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- 2022
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12. Evaluation of RAS Mutational Status in Liquid Biopsy to Monitor Disease Progression in Metastatic Colorectal Cancer Patients
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Elena Lastraioli, Alessandra Bettiol, Jessica Iorio, Elvira Limatola, Daniele Checcacci, Erica Parisi, Cristina Bianchi, Annarosa Arcangeli, Mauro Iannopollo, Francesco Di Costanzo, and Marco Di Lieto
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KRAS ,NRAS ,liquid biopsy ,metastatic colorectal cancer ,Cytology ,QH573-671 - Abstract
In this study we evaluated both~ K- and N-RAS mutations in plasma samples from patients with metastatic colorectal cancer by means of the BEAMing technology, and we assessed their diagnostic performance compared to RAS analyses performed on tissue. The sensitivity of BEAMing in identifying KRAS mutations was of 89.5%, with a fair specificity. The agreement with tissue analysis was moderate. The sensitivity for NRAS was high with a good specificity, and the agreement between tissue analysis and BEAMing was fair. Interestingly, significantly higher mutant allele fraction (MAF) levels were detected in patients with G2 tumors, liver metastases, and in those who did not receive surgery. NRAS MAF level was significantly higher in patients with mucinous adenocarcinoma and for those with lung metastases. A sharp increase in the MAF values was observed in patients who moved towards disease progression. More strikingly, molecular progression always anticipated the radiological one in these patients. These observations pave the way to the possibility of using liquid biopsy to monitor patients during treatment, and to enable oncologists to anticipate interventions compared to radiological analyses. This will allow time to be saved and ensure a better management of metastatic patients in the near future.
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- 2023
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13. Cultural Heritage and Religious Phenomenon between Urbicide and Cancel Culture: The Other Side of the Russian–Ukrainian Conflict
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Federica Botti and Cristina Bianchi
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Orthodox Church ,cultural heritage ,urbicide ,cancel culture ,religion ,Russian–Ukrainian conflict ,Religions. Mythology. Rationalism ,BL1-2790 - Abstract
The Russian–Ukrainian conflict, in addition to causing an unacceptable loss of human life, is straining the integrity of Ukraine’s cultural heritage, despite the fact that both countries involved are parties to the 1954 Hague Convention for the Protection of Cultural Property in the Event of Armed Conflict and its First Protocol. Churches are one of Ukraine’s most important historical assets, as well as symbolic places of Orthodox religious identity common to both the invaders and the invaded. The destruction of these places and their deliberate damage on the part of both sides appear to be part of a more general conflict concerning internal disagreements between Russian and Ukrainian Orthodoxy, which, in turn, reflect two different historical views of the Russian–Ukrainian relationship. A brief reconstruction of relations between the Orthodox Churches operating on the territory of Ukraine demonstrates how religious affiliation has affected the conflict, causing it to become decisive and deeply divisive, so much so that the Patriarchate of Moscow has become an active part of the conflict. This circumstance favours the hypothesis that it is precisely the religious cultural heritage that is most at risk of deliberate destruction. The Russians, by destroying the symbolic places of Ukrainian religious identity (urbicide), affirm the spiritual unity of the Russian and Ukrainian peoples. For their part, the Ukrainians attempt to erase the Russian presence and the common religious cultural roots by destroying buildings of worship dear to the tradition of the Moscow Patriarchate (cancel culture). They reject the imperial traditions of Russia and, at the same time, claim an independent Church. The question arises as to whether the reconstruction process following the war will take into account the original cultural–religious identities, or whether it will take the opportunity to adopt a new (also) religious identity instead, and whether the old and new instruments offered by law are adequate.
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- 2023
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14. Anaesthetic management in adult reindeer (Rangifer tarandus tarandus) undergoing exploratory laparotomy for jejuno‐jejunal intussusception surgery resection.
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Cristina, Parra Martínez, Natalie, Young, Andrew, Fiske‐Jackson, and Cristina, Bianchi
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SURGICAL excision ,BOWEL obstructions ,ABDOMINAL surgery ,ANESTHETICS ,CLINICAL deterioration ,REINDEER - Abstract
A 2‐year‐old, male reindeer (Rangifer tarandus tarandus) presented for further investigations and treatment of acute colic signs. On clinical investigations, an ultrasonographic abdominal exam revealed multiple hypomotile, dilated and fluid‐filled small intestinal loops. Based on clinical findings and increased signs of abdominal pain, small intestine obstruction was suspected, and an exploratory laparotomy was performed. The animal was premedicated with medetomidine (0.003 mg/kg) and butorphanol (0.05 mg/kg) intravenously. General anaesthesia was induced with ketamine (2 mg/kg intravenously) and propofol (3 mg/kg intravenously), and maintained with isoflurane in oxygen. Additional analgesia was provided with methadone (0.1 mg/kg intravenously) and ketamine (0.5 mg/kg intravenously). A jejuno‐jejunal intussusception requiring resection of approximately 6 inches (15 cm) was identified and jejuno‐jejuno anastomosis was performed. Fluid resuscitation was administered for treatment of hypotension during general anaesthesia. Recovery from anaesthesia was uneventful. Nevertheless, the deer was euthanased 5 days later due to clinical deterioration. [ABSTRACT FROM AUTHOR]
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- 2024
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15. Anotaciones sobre conceptos y prácticas de territorio y comunidad en la Terapia Ocupacional colombiana
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Pamela Cristina Bianchi and Ana Paula Serrata Malfitano
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Terapia Ocupacional ,conceptualización ,territorio ,comunidad ,vulnerabilidad social ,Public aspects of medicine ,RA1-1270 ,Industrial hygiene. Industrial welfare ,HD7260-7780.8 - Abstract
El artículo aborda el desarrollo teórico-práctico de los conceptos territorio y comunidad en la Terapia Ocupacional colombiana. El objetivo fue comprender el uso y la elaboración de tales conceptos e identificar cómo se expresan en la práctica. La recolección de datos se realizó en dos etapas: primera, revisión conceptual de la literatura publicada entre 1990 y 2020 en revistas y libros de amplia circulación en América Latina, así como entrevistas a dos autoras recurrentes en las publicaciones seleccionadas; segunda, observación participante de una pasantía profesional orientada a estudiantes de pregrado en Terapia Ocupacional de una universidad colombiana y entrevistas a actores sociales involucrados en esa práctica. Se identifica que los términos territorio y comunidad conforman el vocabulario técnico de las y los terapeutas ocupacionales en Colombia; se refieren históricamente a prácticas realizadas en contextos de pobreza, y adquirieron mayor relevancia con el desarrollo de políticas públicas. Se evidencia, además, una actuación territorial-comunitaria relacionada con el modo de vida comunitario y con la apropiación de los recursos materiales, sociales, culturales y relacionales del territorio, desde una perspectiva colectiva de la vida. Se reitera la necesidad de superar el uso de estos conceptos solo como espacios físicos de actuación profesional.
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- 2021
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16. Correction: The 1ALCTL and 1BLCTL isoforms of Arg/Abl2 induce fibroblast activation and extra cellular matrix remodelling differently
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Barbara Torsello, Sofia De Marco, Silvia Bombelli, Elisa Chisci, Valeria Cassina, Roberta Corti, Davide Bernasconi, Roberto Giovannoni, Cristina Bianchi, and Roberto A. Perego
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Science ,Biology (General) ,QH301-705.5 - Published
- 2021
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17. Relationship of Freshwater Fish Recruitment With Distinct Reproductive Strategies and Flood Attributes: A Long-Term View in the Upper Paraná River Floodplain
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Anielly Galego de Oliveira, Taise Miranda Lopes, Mirtha Amanda Angulo-Valencia, Rosa Maria Dias, Harumi Irene Suzuki, Isadora Cristina Bianchi Costa, and Angelo Antonio Agostinho
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ichthyofauna ,migratory fish ,parental care ,internal fertilization ,flow control ,dams ,Environmental sciences ,GE1-350 - Abstract
The flood pulse is the main driving force for communities' structure and functioning in river-floodplain systems. High synchrony exists between the hydrological cycle and reproductive cycle events for several fish species. However, species with different reproductive strategies can respond in different ways to the flood regime. Thus, this study intends to evaluate the relationship between the recruitment of different reproductive guilds of freshwater fish and flood attributes (flood duration, maximum annual water level, and delay of flood) from a time series of 20 years in the Upper Paraná River floodplain, Brazil. The abundance of four guilds was evaluated: (i) long-distance migratory with external fertilization and without parental care (LMEF); (ii) non-migratory or short-distance migratory with external fertilization and without parental care (NEFW); (iii) non-migratory or short-distance migratory with external fertilization and parental care (NEFP); and (iv) non-migratory or short-distance migratory with internal fertilization and without parental care (NIF). Multiple regression analyses were applied between flood attributes and abundance of young-of-the-year or juveniles for each reproductive guild. This study observed a consistent pattern of long-lasting flooding positively influencing the recruitment of all reproductive guilds, while water level intensity and the time of the onset of flooding also influenced some non-migratory strategies. We can conclude that the conservation of fish populations and the maintenance of ecosystem functions and services associated with them need to be considered in the operating protocols of upstream hydroelectric plants, since they are dependent on the flooding controlled by them.
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- 2020
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18. 30 anos de encontros nacionais de docentes de terapia ocupacional: 1986-2016 / 30 years of National Meetings of Occupational Therapy Lecturers: 1986-2016
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Michelle Selma Hahn, Roseli Esquerdo Lopes, Ana Paula Serrata Malfitano, and Pamela Cristina Bianchi
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Brasil ,Educação superior ,História ,Memórias ,Terapia ocupacional. ,Therapeutics. Pharmacology ,RM1-950 ,Industrial hygiene. Industrial welfare ,HD7260-7780.8 - Abstract
A equipe do Grupo de Pesquisa Terapia Ocupacional: Memórias, Histórias e Fundamentos (CNPq, 2015) vem trabalhando para organizar e sistematizar materiais e documentos que integrem a história da terapia ocupacional brasileira, ampliando fontes primárias e secundárias nesse âmbito, a fim de apreender, dentre outros objetivos, o processo de institucionalização acadêmica da terapia ocupacional no Brasil. Entre 2015 e 2016, uma parte dessas atividades se voltou para os percursos em torno do evento Encontro Nacional de Docentes de Terapia Ocupacional – ENDTO, que, em linhas gerais, vem promovendo a discussão coletiva do ensino de terapia ocupacional no país e, portanto, reverbera parte da história da referida institucionalização. Em 2016, por ocasião do preparo de uma conferência a ser realizada no XV ENDTO, as autoras se debruçaram sobre os documentos, materiais de divulgação, fotos, textos publicados reunidos e, também, apoiando-se na narrativa de uma história da qual participaram de diversas maneiras e em momentos diferentes, perseguiram o objetivo de contar e registar a trajetória dos 30 anos desde a realização do I ENDTO, em 1986. Neste texto, expõe-se uma narrativa dessa trajetória e o registro imagético de parte das fontes reunidas. Trata-se de um patrimônio coletivo da área de terapia ocupacional no Brasil a ser documentado e partilhado com os que fizeram e com os que continuam fazendo essa história. AbstractThe team of the research group “Occupational Therapy: Memories, Histories and Foundations” (CNPq, 2015) has been working to organize and systematize materials and documents that integrate the Brazilian occupational therapy story, expanding primary and secondary sources. Among other objectives the aim is to comprehend the occupational therapy academic institutionalization in Brazil. Part of the activities, between 2015 and 2016, has been directed to the event “The National Meeting of Occupational Therapy Lecturers”, which, in general lines, promotes a collective discussion about teaching occupational therapy in the country and due to that echoes part of the referred history of its institutionalization. In 2016, preparing a conference held at the XV National Meeting of Occupational Therapy Lecturers, the authors looked over a collection of documents, diffusion material, photos and published texts. They are based on the narrative of a history which they have been witnesses in many different ways and moments. The objective was to present and register the trajectory of the thirty years of the Lecturers National Meetings, since the first edition in 1986. In this paper the narrative of this trajectory and registered images from some sources are exposed. That is a collective treasury of occupational therapy in Brazil which needed to be documented and shared with those who participated and those who still continue making this history.Keywords: Brazil; Higher education; History; Memories; Occupational therapy.
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- 2018
19. Use of inhaled devices during a hospital exacerbation of COPD: a summary of an interdisciplinary audit held at ICS Maugeri Pavia, Italy (March-June 2019)
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Michele Vitacca, Cinzia Lastoria, Monica Delmastro, Domenico Fiorenza, Pasquale De Cata, Barbara Fusar Poli, Sonia Gilè, Paola Prometti, Mara Paneroni, Cristina Bianchi, Elena Mandora, Roberta Porri, and Claudio Fracchia
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Relapse ,inhaled therapy ,devices ,COPD ,Medicine - Abstract
To date treatment protocols in Respiratory and or Internal departments across Italy for treatment of chronic obstructive pulmonary disease (COPD) patients at hospital admission with relapse due to exacerbation do not find adequate support in current guidelines. Here we describe the results of a recent clinical audit, including a systematic review of practices reported in literature and an open discussion comparing these to current real-life procedures. The process was dived into two 8-hour-audits 3 months apart in order to allow work on the field in between meeting and involved 13 participants (3 nurses, 1 physiotherapist, 2 internists and 7 pulmonologists). This document reports the opinions of the experts and their consensus, leading to a bundle of multidisciplinary statements on the use of inhaled drugs for hospitalized COPD patients. Recommendations and topics addressed include: i) monitoring and diagnosis during the first 24 h after admission; ii) treatment algorithm and options (i.e., short and long acting bronchodilators); iii) bronchodilator dosages when switching device or using spacer; iv) flow measurement systems for shifting to LABA+LAMA within 48 h; v) when nebulizers are recommended; vi) use of SMI to deliver LABA+LAMA when patient needs SABA 30 litres/min; viii) contraindication to use DPI; ix) continuation of LABA-LAMA when patient is already on therapy; x) possible LABA-LAMA dosage increase; xi) use of SABA and/or SAMA in addition to LABA+LABA; xii) use of SABA+SAMA restricted to real need; xiii) reconciliation of drugs in presence of comorbidities; xiv) check of knowledge and skills on inhalation therapy; xv) discharge bundle; xvi) use of MDI and SMI in tracheostomized patients in spontaneous and ventilated breathing.
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- 2020
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20. Heritability and the genotype × environment interaction in soybean
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Mariane Cristina Bianchi, Adriano Teodoro Bruzi, Igor Oliveri Soares, Flaviane De Oliveira Ribeiro, and Gabriel De Siqueira Gesteira
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Agriculture ,Environmental sciences ,GE1-350 - Abstract
Abstract The objectives of this study were to examine the implication of the genotype × environment interaction (G × E) in the identification of genetically superior soybean [Glycine max (L.) Merr.] progenies; to obtain estimates of genetic and phenotypic parameters for agronomic traits in soybean progenies; and to select genetically superior progenies to obtain lineages. Progenies F3:4 were evaluated in the municipalities of Lavras‐MG and Itutinga‐MG, Brazil, in the agricultural year 2016–2017. Progenies F3:5 were evaluated in the summer of 2017–2018 in the municipalities of Lavras‐MG, Itutinga‐MG, and Ijaci‐MG. The traits of days to flowering, days to full maturity, plant height, bottom pod height, lodging, and grain yield were evaluated. The genetic and phenotypic parameters, expected gain from selection, genetic correlation, correlated response, achieved heritability, and frequency distribution of the adjusted means were estimated. The estimates of the components of variance showed the existence of variability among the progenies, enabling the selection of superior genotypes. There was an effect of the G × E interaction for all traits, and most of the interaction was due to complex interaction. From the analysis of genotypic correlation, significant estimates were observed between the traits. The G × E interaction affected the estimates of genetic and phenotypic parameters in the soybean, and the achieved heritability is a tool to study this interaction.
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- 2020
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21. The 1ALCTL and 1BLCTL isoforms of Arg/Abl2 induce fibroblast activation and extra cellular matrix remodelling differently
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Barbara Torsello, Sofia De Marco, Silvia Bombelli, Elisa Chisci, Valeria Cassina, Roberta Corti, Davide Bernasconi, Roberto Giovannoni, Cristina Bianchi, and Roberto A. Perego
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Arg ,Abl2 ,Non-receptor tyrosine kinase ,Fibroblast ,Extra cellular matrix ,Stroma remodelling ,Science ,Biology (General) ,QH301-705.5 - Abstract
The fibrotic tissue and the stroma adjacent to cancer cells are characterised by the presence of activated fibroblasts (myofibroblasts) which play a role in creating a supportive tissue characterised by abundant extracellular matrix (ECM) secretion. The myofibroblasts remodel this tissue through secreted molecules and modulation of their cytoskeleton and specialized contractile structures. The non-receptor protein tyrosine kinase Arg (also called Abl2) has the unique ability to bind directly to the actin cytoskeleton, transducing diverse extracellular signals into cytoskeletal rearrangements. In this study we analysed the 1ALCTL and 1BLCTL Arg isoforms in Arg−/− murine embryonal fibroblasts (MEF) cell line, focusing on their capacity to activate fibroblasts and to remodel ECM. The results obtained showed that Arg isoform 1BLCTL has a major role in proliferation, migration/invasion of MEF and in inducing a milieu able to modulate tumour cell morphology, while 1ALCTL isoform has a role in MEF adhesion maintaining active focal adhesions. On the whole, the presence of Arg in MEF supports the proliferation, activation, adhesion, ECM contraction and stiffness, while the absence of Arg affected these myofibroblast features. This article has an associated First Person interview with the first author of the paper.
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- 2019
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22. El área social y la producción de la revista chilena de terapia ocupacional: Reflexiones desde la terapia ocupacional social
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Pamela Cristina Bianchi and Ana Paula Serrata Malfitano
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Industrial medicine. Industrial hygiene ,RC963-969 ,Industrial hygiene. Industrial welfare ,HD7260-7780.8 - Abstract
Introducción: El contexto de desigualdad social en consonancia con las políticas sociales y las discusiones acerca del acceso a la ciudadanía propuso para la Terapia Ocupacional la entrada en una nueva área: lo social. La terapia ocupacional social brasileña proporciona un recorte metodológico específico con acciones para públicos que tengan la vulnerabilidad social como eje de su demanda. Utilizándose de los presupuestos de la terapia ocupacional social brasileña, se he investigado la producción de la Revista Chilena de Terapia Ocupacional, con vistas a identificar la presencia de textos acerca de la área social. Método: Se realizó una encuesta en dos etapas: colección de todos los textos publicados y selección y análisis de los artículos que hacían referencia directa o indirectamente con el ámbito social. Resultados y discusión: Fueron publicados 182 artículos desde 2001 hasta 2014, y se describen sus áreas, sub-áreas y países de los autores. En la segunda fase se seleccionaron 19 textos relacionados en la área social. La clasificación de los trabajos fue realizada de la siguiente manera: discusiones en un enfoque en el nivel individual (07 textos) y en una perspectiva colectiva (12 textos). El debate es el desafío en avanzar de una perspectiva individual al desarrollo de una práctica colectiva y social. Conclusión: La Terapia Ocupacional en Latinoamérica debe desarrollar metodologías y aportaciones teóricas que son singulares a nuestra realidad y dirigir la búsqueda de respuestas a las demandas de la sociedad. Proponemos vínculos más estrechos entre los países de la región para construir una perspectiva en terapia ocupacional socialmente comprometido con nuestro contexto.
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- 2016
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23. Integration of Lipidomics and Transcriptomics Reveals Reprogramming of the Lipid Metabolism and Composition in Clear Cell Renal Cell Carcinoma
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Giuseppe Lucarelli, Matteo Ferro, Davide Loizzo, Cristina Bianchi, Daniela Terracciano, Francesco Cantiello, Lauren N. Bell, Stefano Battaglia, Camillo Porta, Angela Gernone, Roberto A. Perego, Eugenio Maiorano, Ottavio de Cobelli, Giuseppe Castellano, Leonardo Vincenti, Pasquale Ditonno, and Michele Battaglia
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renal cell carcinoma ,lipidomics ,SCD1 ,cholesterol ,lipids ,Microbiology ,QR1-502 - Abstract
Clear cell renal cell carcinoma (ccRCC) is fundamentally a metabolic disease. Given the importance of lipids in many cellular processes, in this study we delineated a lipidomic profile of human ccRCC and integrated it with transcriptomic data to connect the variations in cancer lipid metabolism with gene expression changes. Untargeted lipidomic analysis was performed on 20 ccRCC and 20 paired normal tissues, using LC-MS and GC-MS. Different lipid classes were altered in cancer compared to normal tissue. Among the long chain fatty acids (LCFAs), significant accumulations of polyunsaturated fatty acids (PUFAs) were found. Integrated lipidomic and transcriptomic analysis showed that fatty acid desaturation and elongation pathways were enriched in neoplastic tissue. Consistent with these findings, we observed increased expression of stearoyl-CoA desaturase (SCD1) and FA elongase 2 and 5 in ccRCC. Primary renal cancer cells treated with a small molecule SCD1 inhibitor (A939572) proliferated at a slower rate than untreated cancer cells. In addition, after cisplatin treatment, the death rate of tumor cells treated with A939572 was significantly greater than that of untreated cancer cells. In conclusion, our findings delineate a ccRCC lipidomic signature and showed that SCD1 inhibition significantly reduced cancer cell proliferation and increased cisplatin sensitivity, suggesting that this pathway can be involved in ccRCC chemotherapy resistance.
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- 2020
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24. PKHhigh/CD133+/CD24− Renal Stem-Like Cells Isolated from Human Nephrospheres Exhibit In Vitro Multipotency
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Silvia Bombelli, Chiara Meregalli, Chiara Grasselli, Maddalena M. Bolognesi, Antonino Bruno, Stefano Eriani, Barbara Torsello, Sofia De Marco, Davide P. Bernasconi, Nicola Zucchini, Paolo Mazzola, Cristina Bianchi, Marco Grasso, Adriana Albini, Giorgio Cattoretti, and Roberto A. Perego
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human adult stem cell ,kidney ,endothelium ,scaffold ,nephrosphere ,multipotency ,Cytology ,QH573-671 - Abstract
The mechanism upon which human kidneys undergo regeneration is debated, though different lineage-tracing mouse models have tried to explain the cellular types and the mechanisms involved. Different sources of human renal progenitors have been proposed, but it is difficult to argue whether these populations have the same capacities that have been described in mice. Using the nephrosphere (NS) model, we isolated the quiescent population of adult human renal stem-like PKHhigh/CD133+/CD24− cells (RSC). The aim of this study was to deepen the RSC in vitro multipotency capacity. RSC, not expressing endothelial markers, generated secondary nephrospheres containing CD31+/vWf+ cells and cytokeratin positive cells, indicating the coexistence of endothelial and epithelial commitment. RSC cultured on decellularized human renal scaffolds generated endothelial structures together with the proximal and distal tubular structures. CD31+ endothelial committed progenitors sorted from nephrospheres generated spheroids with endothelial-like sprouts in Matrigel. We also demonstrated the double commitment toward endothelial and epithelial lineages of single RSC. The ability of the plastic RSC population to recapitulate the development of tubular epithelial and endothelial renal lineages makes these cells a good tool for the creation of organoids with translational relevance for studying the parenchymal and endothelial cell interactions and developing new therapeutic strategies.
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- 2020
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25. Ruolo delle adipochine nella patogenesi del diabete gestazionale
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Fabrizia Citro, Francesca Nicolì, Alessandra Bertolotto, Stefano Del Prato, and Cristina Bianchi
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- 2022
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26. Involvement of cortical projections to basolateral amygdala in context-induced reinstatement of ethanol-seeking in rats
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Gabrielle Emily Boaventura Tavares, Paula Cristina Bianchi, Thays Suemi Yokoyama, Paola Palombo, and Fabio Cardoso Cruz
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Behavioral Neuroscience - Published
- 2023
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27. Short sleep duration and risk of gestational diabetes
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Francesca Nicolì, Alessandro Prete, Fabrizia Citro, Alessandra Bertolotto, Lorella Battini, Giovanni de Gennaro, Stefano Del Prato, and Cristina Bianchi
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Sleep Wake Disorders ,Diabetes, Gestational ,Endocrinology ,Time Factors ,Pregnancy ,Risk Factors ,Endocrinology, Diabetes and Metabolism ,Obstetrics and Gynecology ,Humans ,Female ,Sleep - Published
- 2022
28. Metabolic regulation of GLP-1 and PC1/3 in pancreatic α-cell line.
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Veronica Sancho, Giuseppe Daniele, Daniela Lucchesi, Roberto Lupi, Annamaria Ciccarone, Giuseppe Penno, Cristina Bianchi, Angela Dardano, Roberto Miccoli, and Stefano Del Prato
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Medicine ,Science - Abstract
An intra-islet incretin system has been recently suggested to operate through modulation of the expression and activity of proconvertase 1/3 and 2 (PC1/3, PC2) in pancreatic alpha-cell accounting for local release of GLP-1. Little is known, whether this alpha-cell activity can be affected by the metabolic alterations occurring in type 2 diabetes, such as hyperglycemia, hyperlipidemia or hyperglucagonemia.AlphaTC1/6 cells from a mice pancreatic cell line were incubated in the presence of two glucose (G) concentration (5.5 and 16.7 mM) for 16 h with or without free fatty acid, IL6 or glucagon. GLP-1 secretion was measured by ELISA and expression of PC1/3 and PC2 by RT-PCR and western blot; cell viability was determined by MTT method, Reactive Oxygen Species generation (ROS) by H2DCFDA fluorescence and apoptosis by Annexin staining and Propidium Iodine (PI) fluorescence.Upon 16.7G incubation, GLP-1 secretion (total and active) was significantly increased in parallel with a significant increment in PC1/3 expression, a slight increase in cell viability and ROS generation and by a decrement in PC2 expression with no change in cell apoptosis. When cells were incubated at 5.5mM glucose with FFA, also an increment in GLP-1 secretion and PC1/3 expression was observed together an increment in ROS generation, a decrement in cell viability, and a modest increment in apoptosis. When incubated with 16.7mM glucose with FFA, the increment in GLP-1 secretion was reduced to basal, accompanied by an increment in apoptosis and ROS generation. This was also observed with IL-6, but in this case, no modification in ROS generation or apoptosis was observed when compared to 16.7mM glucose. The presence of glucagon did not modify any of the parameters studied.These data suggest that under hyperglycemic, hyperlipidemia or inflammatory conditions, alpha cells can increase expression PC1/3 and activate GLP-1 secretion, which may contribute protecting both alpha and beta-cells from glucose and lipotoxicity, while this effect seems to be lost in the presence of both pathophysiological conditions.
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- 2017
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29. Stress-induced locomotor sensitization to amphetamine in adult, but not in adolescent rats, is associated with increased expression of ΔFosB in the nucleus accumbens.
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Paulo Eduardo Carneiro de Oliveira, Rodrigo Molini Leão, Paula Cristina Bianchi, Marcelo Tadeu Marin, Cleopatra Silva Planeta, and Fabio Cardoso Cruz
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Adolescent ,Adult ,Amphetamine ,stress ,Accumbens ,behavioral sensitization ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
While clinical and pre-clinical evidence suggests that adolescence is a risk period for the development of addiction, the underlying neural mechanisms are largely unknown. Stress during adolescence has a huge influence on drug addiction. However, little is known about the mechanisms related to the interaction among stress, adolescence and addiction. Studies point to ΔFosB as a possible target for this phenomenon. In the present study, adolescent and adult rats (postnatal day 28 and 60, respectively) were restrained for 2 hours once a day for 7 days. Three days after their last exposure to stress, the animals were challenged with saline or amphetamine (1.0 mg/kg i.p.) and amphetamine-induced locomotion was recorded. Immediately after the behavioral tests, rats were decapitated and the nucleus accumbens was dissected to measure ΔFosB protein levels. We found that repeated restraint stress increased amphetamine-induced locomotion in both adult and adolescent rats. Furthermore, in adult rats, stress-induced locomotor sensitization was associated with increased expression of ΔFosB in the nucleus accumbens. Our data suggest that ΔFosB may be involved in some of the neuronal plasticity changes associated with stress induced-cross sensitization with amphetamine in adult rats.
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- 2016
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30. Knowledge, attitude, and practice of the 2009 Institute of Medicine (IOM) recommendations on the nutritional management of diabetes in pregnancy: an online national survey
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Gloria Formoso, Cristina Bianchi, Silvia Burlina, Elisa Manicardi, Maria Angela Sculli, Veronica Resi, and Laura Sciacca
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National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division ,Health Knowledge, Attitudes, Practice ,Endocrinology, Diabetes and Metabolism ,Pregnancy Outcome ,General Medicine ,Weight Gain ,Gestational Weight Gain ,United States ,Diet ,Body Mass Index ,Pregnancy Complications ,Endocrinology ,Cross-Sectional Studies ,Pregnancy ,Internal Medicine ,Diabetes Mellitus ,Humans ,Female ,IOM guidelines ,Gestational diabetes ,Nutrition - Abstract
Aims As recommended by the Institute of Medicine (IOM), health practitioners should encourage a healthy nutrition and adequate weight gain during pregnancy in order to ensure favorable pregnancy and fetal outcomes, and to prevent diseases later in life for both mother and child. The purpose of this online survey was to determine the knowledge, attitude, and practice of the 2009 IOM recommendations among healthcare professionals managing nutritional therapy in pregnancies complicated by diabetes in Italy. Methods A cross-sectional survey was conducted by using an online self-administered questionnaire undertaken between October and December 2021. Results Of the 220 participants 89% were diabetologists/endocrinologists/internal medicine specialists and 11% dietitians/nutritionists. The survey found that the 53% of respondents provide a personalized diet to pregnant women with diabetes, while 32% a standard diet plan and only 15% healthy dietary advice. The 69% of the participants investigated for appropriate gestational weight gain, mainly based on pre-pregnancy BMI (96%), gestational weight gain (GWG) at first prenatal visit (80%) and presence of twin pregnancy (58%). Maternal weight gain was evaluated at each regularly scheduled prenatal visit and compared with IOM recommendations for the 87% of healthcare professionals. Diet plan was periodically re-evaluated and/or modified (90% of participants), based on inadequate maternal weight gain and/or fetal growth abnormalities (78%), trimester transition (53%), changes in physical activity and/or a “feel hungry” (50%). Conclusions This survey reported the knowledge and attitude of IOM guidelines and the nutritional knowledge and practice of Italian professionals on the nutritional management of diabetes in pregnancy. The application of these recommendations seemed more feasible in clinics/team dedicated to "Diabetes in Pregnancy".
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- 2022
31. Ensaio clínico comparando três modalidades de crioterapia em mulheres não grávidas Ensayo clínico comparando tres tipos de crioterapia en mujeres no embarazadas Clinical trial comparing three types of cryotherapy in non-pregnant women
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Lucila Coca Leventhal, Renata Cristina Bianchi, and Sonia Maria Junqueira Vasconcellos de Oliveira
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Crioterapia ,Hielo ,Mujeres ,Sensación ,Temperatura cutánea ,Gelo ,Mulheres ,Sensação ,Temperatura cutânea ,Cryotherapy ,Ice ,Women ,Sensation ,Skin temperature ,Public aspects of medicine ,RA1-1270 ,Nursing ,RT1-120 ,Mental healing ,RZ400-408 ,Education (General) ,L7-991 - Abstract
O estudo teve como objetivo comparar três modalidades de crioterapia em mulheres saudáveis e não grávidas. Trata-se de um ensaio clínico randomizado, não controlado, com 32 alunas do curso de graduação de uma faculdade de enfermagem particular da cidade de São Paulo, divididas em três grupos (gelo água, gelo mole, gelo gel). Foram verificadas as temperaturas (axilar, coxa e das três bolsas de gelo) entre zero e vinte minutos. As temperaturas das bolsas foram: gelo mole de 9°C negativos a 2°C, gelo água de 0°C a 8°C e gelo gel de 11°C negativos a 2°C. Houve diferença significativa entre as médias das temperaturas da coxa com 10 minutos (p=0,007), 15 minutos (p=0,003) e 20 minutos (p=0,005). O gel foi mais eficiente no resfriamento comparado aos outros dois métodos. As três modalidades de crioterapia atingem a temperatura recomendada para analgesia e podem ser aplicadas em puérperas com dor perineal após o parto normal.El estudio tuvo como objetivo comparar tres modalidades de crioterapia en mujeres saludables y no grávidas. Se trató de un ensayo clínico randomizado no controlado con 32 alumnas del curso de graduación de una facultad de enfermería particular de la ciudad de São Paulo (Brasil). Las alumnas fueron divididas en tres grupos (agua helada, hielo blando, gel helado). Fueron verificadas las temperaturas (axilar, del muslo y de las tres bolsas de hielo) entre cero y veinte minutos. Las temperaturas de las bolsas fueron: hielo blando, de -9°C a 2°C; agua helada, de 0°C a 8°C; gel helado, de -11°C a 2°C. Hubo diferencia significativa entre las medias de las temperaturas del muslo tomadas a los 10 minutos (p=0,007), 15 minutos (p=0,003) y 20 minutos (p=0,005). El gel fue más eficiente en el enfriamiento comparado con los otros dos métodos. Las tres modalidades de crioterapia alcanzan la temperatura recomendada para la analgesia y pueden ser aplicadas en mujeres con dolor perineal posparto.The objective of the present study was to compare three methods of cryotherapy in healthy non-pregnant women. This is a randomized controlled clinical trial that was conducted by 32 undergraduates of a private nursing college in the city of Sao Paulo, divided into three groups (iced water, soft ice, ice gel). The temperatures were verified (axillary, thigh, of the three ice packs) between zero and twenty minutes. The temperatures of the packs were the following: soft ice, from negative 9°C to 2°C; iced water, from 0°C to 8°C; and ice gel from negative 11°C to 2°C. There was a significant difference between the average thigh temperature values at 10 minutes (p=0.007), 15 minutes (p=0.003) and 20 minutes (p=0.005). The gel was the most efficient cooling method. The three cryotherapy methods achieved the recommended temperature for analgesia and may be tested in women with perineal pain after childbirth.
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- 2010
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32. RELAÇÕES DE PODER EM NARRATIVAS VIRTUAIS PRODUZIDAS POR JOVENS: ANÁLISE SOB A PERSPECTIVA DAS EPISTEMOLOGIAS DO SUL.
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Cristina Bianchi, Pamela and Autiero da Costa, Gabriela Helena
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VIOLENCE against women , *POWER (Social sciences) , *SOCIAL classes , *FAN fiction , *CYBERSPACE , *CROWDSOURCING - Abstract
Themes related to cyberspace have been gaining more relevance in contemporaneity. Youth appears as the protagonist of this process, promoting and producing new cultural expressions in this universe. Among them, we highlight the fanfictions, narratives virtually built by and for fans. This study aims to identify, from the perspective of Epistemologies of the South, how colonialism, patriarchy and capitalism manifest themselves in fanfictions. A qualitative documentary research was made, with reading and analysis of three narratives published in online platforms. We observed the presence of the power structures: patriarchy, expressed by scenes of objectification and violence against women; colonialism, visualized by the presence of only white characters; and capitalism, through the prominence of the lifestyle of the dominant social classes. The results point out that youth productions have been spaces of reproduction of dominant power relations in the current scenario. [ABSTRACT FROM AUTHOR]
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- 2023
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33. Clinical and epidemiological features of oral cancer in a medical school teaching hospital from 1994 to 2002: increasing incidence in women, predominance of advanced local disease, and low incidence of neck metastases Características clínicas e epidemiológicas do câncer da boca em hospital-escola de 1994 a 2002: aumento da incidência em mulheres, predomínio de doença local avançada e baixa incidência de metástases regionais
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Marcelo D. Durazzo, Carlos Eugenio Nabuco de Araujo, José de Souza Brandão Neto, André de Souza Potenza, Pedro Costa, Flávio Takeda, Cristina Bianchi, Marcos R. Tavares, Gilberto de Britto e Silva Filho, and Alberto R. Ferraz
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Câncer da boca ,Neoplasias de cabeça e pescoço ,Metástase ,Epidemiologia ,Características da População ,Head and neck neoplasms ,Mouth neoplasms ,Neoplasm metastasis ,Population at risk ,Epidemiology ,Medicine (General) ,R5-920 - Abstract
PURPOSE: Description of clinical and epidemiological characteristics of patients who underwent surgery for oral cancer in a Medical School Teaching Hospital, and determination of differences with respect to other institutions and/or periods of time. METHOD: The charts of patients undergoing surgery for oral cancer from 1994 to 2002 were reviewed. Data were collected in a spreadsheet in order to analyze clinical and epidemiological features.. RESULTS: A total of 374 patients having undergone 406 operations was identified. Their ages varied from 14 to 94 years (mean = 57.4 years), with 255 men (68.2%), and 295 out 366 Caucasian (80.6%). A majority had tumors of the tongue and/or floor of mouth (55.6%), while 20.3% had lip cancer. Squamous cell carcinoma was found in 90.3%, and glandular carcinoma in 4%. T4 tumors in 39.6%, Tis or T1 lesions in 15.2% of all patients. Nearly 62% had no regional metastases, and the relative incidence in young patients (40 years or younger) reached 8.6%. CONCLUSION: In spite of the predominance of locally advanced tumors, a majority of patients had no neck metastases. The 31.8% incidence in females indicates an increasing incidence of oral cavity cancer among women when compared to previous periods at the same institution.OBJETIVO: Caracterizar epidemiológica e clinicamente a população atendida por câncer de boca em hospital-escola de atenção terciária e quaternária e verificar variações em relação a outras casuísticas e períodos. MÉTODO: Procedeu-se à revisão dos prontuários dos operados por câncer oral de 1994 a 2002. As características clínicas e epidemiológicas foram colocadas em planilhas e analisadas. RESULTADOS: Foram identificados 374 portadores de câncer da boca que foram submetidos a 406 operações. A idade dos doentes variou de 14 a 94 anos (média = 57,4 anos). Duzentos e cinqüenta e cinco eram do gênero masculino (68,2%). Duzentos e noventa e cinco entre 366 doentes eram caucasianos (80,6%). A maioria era portadora de tumores da língua e/ou do soalho da boca (194 entre 349 doentes; 55,6%), e 71 (20,3%) tinham tumores dos lábios. O carcinoma epidermóide foi encontrado em 90,3% e carcinomas glandulares em 4%. Os tumores T4 estavam presentes em 39,6% dos doentes; 15,2% tinham lesões Tis ou T1. Quase 62% dos pacientes não tinham metástases cervicais. A incidência relativa em jovens (com até 40 anos de idade) atingiu 8,6%. CONCLUSÃO: Apesar dos achados freqüentemente referidos na literatura terem se confirmado (como o predomínio de lesões avançadas localmente), a maioria dos doentes não apresentava metástases cervicais. Acima do observado em outras casuísticas, os 31,8% de mulheres na presente casuística indica a preocupante e crescente incidência no gênero feminino.
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- 2005
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34. Early vs. standard screening and treatment of gestational diabetes in high-risk women – An attempt to determine relative advantages and disadvantages
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M. Corfini, G. de Gennaro, Matilde Romano, Lorella Battini, S. Del Prato, Cristina Bianchi, Alessandra Bertolotto, and Michele Aragona
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Time Factors ,endocrine system diseases ,Endocrinology, Diabetes and Metabolism ,Medicine (miscellaneous) ,030204 cardiovascular system & hematology ,0302 clinical medicine ,Risk Factors ,Pregnancy ,Prevalence ,Insulin ,Mass Screening ,Gestational diabetes ,Nutrition and Dietetics ,Obstetrics ,Pregnancy Outcome ,Gestational age ,Prenatal Care ,female genital diseases and pregnancy complications ,Treatment Outcome ,Italy ,Gestation ,Female ,medicine.symptom ,Cardiology and Cardiovascular Medicine ,Adult ,medicine.medical_specialty ,Maternal and fetal outcomes ,030209 endocrinology & metabolism ,Risk Assessment ,03 medical and health sciences ,Early screening ,Predictive Value of Tests ,Early Medical Intervention ,medicine ,Humans ,Hypoglycemic Agents ,Retrospective Studies ,Fetus ,business.industry ,nutritional and metabolic diseases ,Retrospective cohort study ,medicine.disease ,Obesity ,Diabetes, Gestational ,Early Diagnosis ,business ,Weight gain - Abstract
Background and aims Screening for Gestational Diabetes (GDM) is usually recommended between 24 and 28 weeks of pregnancy; however available evidence suggests that GDM may be already present before recommended time for screening, in particular among high-risk women as those with prior GDM or obesity. The purpose of this retrospective study was to evaluate whether early screening (16–18 weeks) and treatment of GDM may improve maternal and fetal outcomes. Methods and results In 290 women at high-risk for GDM, we analyzed maternal and fetal outcomes, according to early or standard screening and GDM diagnosis time. Early screening was performed by 50% of high-risk women. The prevalence of GDM was 62%. Among those who underwent early screened, GDM was diagnosed at the first evaluation in 42.7%. Women with early diagnosis were more frequently treated with insulin and had a slightly lower HbA1c than women with who were diagnosed late. No differences were observed in the prevalence of Cesarean section, operative delivery, gestational age at the delivery, macrosomia, neonatal weight, Ponderal Index and Large-for-Gestational-Age among women with early or late GDM diagnosis or NGT. However, compared to NGT women, GDM women, irrespective of the time of diagnosis, had a lower gestational weight gain, lower prevalence of macrosomia (3.9% vs. 11.4%), small (1.7% vs. 8.3%) as well as large for gestational age (3.3% vs. 16.7%), but higher prevalence of pre-term delivery (8.9% vs. 2.7%). Conclusion Early vs. standard screening and treatment of GDM in high-risk women is associated with similar short-term maternal-fetal outcomes, although women with an early diagnosis were treated to a greater extent with insulin therapy.
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- 2019
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35. Reflexos da formação interprofissional na trajetória profissional: percepção de egressas de Terapia Ocupacional.
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Cristina Bianchi, Pamela and Teixeira Rosan, Lara
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INTERPROFESSIONAL education ,OCCUPATIONAL therapy students ,OCCUPATIONAL therapists ,EDUCATIONAL planning ,PROFESSIONAL identity ,THEMATIC analysis - Abstract
Copyright of Interface - Comunicação, Saúde, Educação is the property of Fundacao UNI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2023
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36. Evidence for two distinct phenotypes of chronic kidney disease in individuals with type 1 diabetes mellitus
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Giuseppe Penno, Veronica Sancho Bornez, Angela Dardano, Eleonora Russo, Cristina Bianchi, Daniela Lucchesi, Laura Giusti, Stefano Del Prato, Giuseppe Daniele, Monia Garofolo, and Roberto Miccoli
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Adult ,Male ,medicine.medical_specialty ,Endocrinology, Diabetes and Metabolism ,Type 1 diabetes mellitus ,Renal function ,030209 endocrinology & metabolism ,Disease ,030204 cardiovascular system & hematology ,Albuminuria ,Chronic kidney disease ,Diabetic retinopathy ,Glomerular filtration rate ,Internal Medicine ,urologic and male genital diseases ,Fibrinogen ,Gastroenterology ,03 medical and health sciences ,Endocrinology ,0302 clinical medicine ,Risk Factors ,Internal medicine ,Humans ,Medicine ,Diabetic Nephropathies ,Renal Insufficiency, Chronic ,Retrospective Studies ,Type 1 diabetes ,Diabetic Retinopathy ,business.industry ,Middle Aged ,medicine.disease ,female genital diseases and pregnancy complications ,Diabetes and Metabolism ,Cross-Sectional Studies ,Diabetes Mellitus, Type 1 ,Phenotype ,Cardiovascular Diseases ,Female ,medicine.symptom ,business ,Glomerular Filtration Rate ,Kidney disease ,medicine.drug ,Retinopathy - Abstract
In a retrospective, observational, cross-sectional, single-centre study, we assessed the prevalence and correlates of different CKD phenotypes (with and without albuminuria) in a large cohort of patients of white ethnicity with type 1 diabetes. From 2001 to 2009, 408 men and 369 women with type 1 diabetes (age 40.2 ± 11.7 years, diabetes duration 19.4 ± 12.2 years, HbA1c 7.83 ± 1.17% [62.0 ± 12.9 mmol/mol]) were recruited consecutively. Albumin-to-creatinine ratio (ACR) and eGFR (Modification of Diet in Renal Disease) were obtained for all individuals, together with CKD stage. Diabetic retinopathy and peripheral polyneuropathy were detected in 41.5% and 8.1%, respectively, and cardiovascular disease (CVD) occurred in 8.5%. Adjudications of CKD phenotype were made by blinded investigators. Normo- (ACR
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- 2017
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37. Trajectories of health counselors: reflecting on political culture and popular participation
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Pamela Cristina Bianchi and Stella Maris Nicolau
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lcsh:Therapeutics. Pharmacology ,Health Councils ,lcsh:R ,lcsh:RM1-950 ,Unified Health System ,lcsh:Medicine ,Social Participation - Abstract
Objective: This study aimed to understand the trajectories of aldermen health representatives representing the users and discuss the popular participation and political culture in the reality of a medium-sized municipality of São Paulo. Method: Therefore, we carried out a qualitative and exploratory research, with the proposition of the pursuit of knowledge by reconstituting life trajectories, inspired by the method of oral history. Interviews were conducted in depth with five directors through broad issues roadmap to encourage the free narration. We then performed the analysis of the trajectories the light of two concepts: popular participation and political culture. Results: The trajectories pointed motivations and deadlocks, as the satisfaction in charge of the occupation, the rise of a user presidential council and the critical lack of financial support. We observed asymmetry of knowledge and power within the board, since the board members consider themselves less able not to dominate technical and management issues. The local political culture experiences a period of transition from a traditional political culture for a democratic and participatory, however prevails to authoritarianism and cooptation of relations between managers and users. Conclusion: It is considered necessary and of great importance greater ownership by the directors of the duties of the Municipal Health Council to be held an effective social control.
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- 2017
38. 65-OR: Effects of Treatment with Metformin and/or Sitagliptin on Beta-Cell Function and Insulin Resistance in Prediabetic Women with Previous Gestational Diabetes
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SARA BARONE, ANGELA DARDANO, ANDREA TURA, JANCY J. KURUMTHODATHU, ALESSANDRA BERTOLOTTO, CRISTINA BIANCHI, LAURA GIUSTI, EMILIA LACARIA, MATILDE ROMANO, ROBERTO MICCOLI, GIUSEPPE PENNO, STEFANO DEL PRATO, and GIUSEPPE DANIELE
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Endocrinology, Diabetes and Metabolism ,Internal Medicine - Abstract
Gestational diabetes (GDM) enhances the risk of type 2 diabetes (T2D) with 20-50% of women progressing to T2D within 10-years after pregnancy. Preventative strategies, including use of pharmacologic agents, are worth considering. We assessed, in a randomized double-blind study, the effect of 16-week therapy with sitagliptin (SITA, 100 mg qd), metformin (MET, 850 mg bid), and SITA+MET (50+850 mg bid) on beta-cell function and insulin sensitivity in women (n=40, age 30-49 y) with recent GDM and impaired glucose regulation (IGR: IFG and/or IGT). A 75gr OGTT and +125 mg/dl hyperglycemic clamp followed by 5 gr i.v. L-arginine were performed at baseline and study-end. Baseline characteristics were comparable in the 3 groups. At week 16, BMI declined in all groups (-1.2±0.2 Kg/m2; p Disclosure S. Barone: None. A. Dardano: None. A. Tura: None. J.J. Kurumthodathu: None. A. Bertolotto: Speaker's Bureau; Self; Abbott, Lilly Diabetes. C. Bianchi: None. L. Giusti: None. E. Lacaria: None. M. Romano: None. R. Miccoli: None. G. Penno: None. S. Del Prato: Advisory Panel; Self; AstraZeneca, Boehringer Ingelheim Pharmaceuticals, Inc., Eli Lilly and Company, GlaxoSmithKline plc., Merck Sharp & Dohme Corp., Novartis Pharmaceuticals Corporation, Novo Nordisk A/S, Sanofi, Servier, Takeda Pharmaceutical Company Limited. Board Member; Self; AstraZeneca. Research Support; Self; AstraZeneca, Boehringer Ingelheim Pharmaceuticals, Inc. Speaker's Bureau; Self; Boehringer Ingelheim Pharmaceuticals, Inc., Takeda Pharmaceutical Company Limited. G. Daniele: None.
- Published
- 2019
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39. Soybean seed size: how does it affect crop development and physiological seed quality?
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Cristina Bianchi, Mariane, Dias Vilela, Nelson Júnior, Reis Carvalho, Everson, de Oliveira Pires, Raquel Maria, Oliveira dos Santos, Heloisa, and Teodoro Bruzi, Adriano
- Abstract
Copyright of Journal of Seed Science is the property of Associacao Brasileira de Tecnologia de Sementes and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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- 2022
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40. Arg tyrosine kinase modulates TGF-β1 production in human renal tubular cells under high-glucose conditions
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Lara Invernizzi, Barbara Torsello, Giorgio Bovo, Rinaldo Brivio, Sofia De Marco, Roberto A. Perego, Cristina Bianchi, Vitalba Di Stefano, Guido Strada, Silvia Bombelli, C Meregalli, Torsello, B, Bianchi, C, Meregalli, C, DI STEFANO, V, Invernizzi, L, DE MARCO, S, Bovo, G, Brivio, R, Strada, G, Bombelli, S, and Perego, R
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p190RhoGAP ,0301 basic medicine ,RHOA ,medicine.medical_treatment ,Vimentin ,Mice ,0302 clinical medicine ,Cell Movement ,Stress Fibers ,Guanine Nucleotide Exchange Factors ,Cells, Cultured ,Abl2 ,Kinase ,MED/04 - PATOLOGIA GENERALE ,Arg ,ROS ,Protein-Tyrosine Kinases ,Cell biology ,Kidney Tubules ,Phenotype ,Cytokine ,030220 oncology & carcinogenesis ,Imatinib Mesylate ,High glucose ,Proteasome Inhibitors ,Tyrosine kinase ,Adult ,TGF-β ,Epithelial-Mesenchymal Transition ,Renal tubular cell ,Down-Regulation ,Biology ,ABL2 ,Transforming Growth Factor beta1 ,03 medical and health sciences ,Downregulation and upregulation ,medicine ,Animals ,Humans ,Gene Silencing ,Phosphotyrosine ,Ubiquitin ,Epithelial Cells ,Cell Biology ,Fibroblasts ,Glucose ,030104 developmental biology ,TGF-ß ,Proteolysis ,NIH 3T3 Cells ,biology.protein ,Cancer research ,Reactive Oxygen Species ,rhoA GTP-Binding Protein ,Biomarkers ,Transforming growth factor - Abstract
Renal tubular cells are involved in the tubular interstitial fibrosis observed in diabetic nephropathy. It is debated whether epithelial–mesenchymal transition (EMT) affects tubular cells, which under high-glucose conditions overproduce transforming growth factor-β (TGF-β), a fibrogenic cytokine involved in interstitial fibrosis development. Our study investigated the involvement of non-receptor tyrosine kinase Arg (also called Abl2) in TGF-β production. Human primary tubular cell cultures exposed to high-glucose conditions were used. These cells showed an elongated morphology, stress fibers and vimentin increment but maintained most of the epithelial marker expression and distribution. In these cells exposed to high glucose, which overexpressed and secreted active TGF-β1, Arg protein and activity was downregulated. A further TGF-β1 increase was induced by Arg silencing with siRNA, as with the Arg tyrosine kinase inhibitor Imatinib. In the cells exposed to high glucose, reactive oxygen species (ROS)-dependent Arg kinase downregulation induced both RhoA activation, through p190RhoGAPA (also known as ARHGAP35) modulation, and proteasome activity inhibition. These data evidence a new specific involvement of Arg kinase into the regulation of TGF-β1 expression in tubular cells under high-glucose conditions and provide cues for new translational approaches in diabetic nephropathy.
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- 2016
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41. Zygomatic arch-atlas wing stabilization in 5 dogs with atlanto-occipital dislocation
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Laura Corbetta, Simone Pavesi, Mario Dolera, Silvia Marcarini, Nancy Carrara, Cristina Bianchi, Sara Finesso, Massimo Sala, Luca Malfassi, and Giovanni Mazza
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Male ,medicine.medical_specialty ,040301 veterinary sciences ,medicine.medical_treatment ,Joint Dislocations ,Physical examination ,Condyle ,0403 veterinary science ,03 medical and health sciences ,Dogs ,0302 clinical medicine ,Atlas (anatomy) ,Animals ,Minimally Invasive Surgical Procedures ,Medicine ,atlanto-occipital dislocation ,Joint dislocation ,Cervical Atlas ,Ligature ,Zygoma ,Full Paper ,General Veterinary ,medicine.diagnostic_test ,business.industry ,Occipital bone ,Magnetic resonance imaging ,04 agricultural and veterinary sciences ,medicine.disease ,Magnetic Resonance Imaging ,Surgery ,medicine.anatomical_structure ,Occipital Bone ,dog ,Zygomatic arch ,Tomography, X-Ray Computed ,business ,Nuclear medicine ,030217 neurology & neurosurgery - Abstract
The aim of this work was to present a novel minimally invasive surgical stabilization technique for canine atlanto-occipital dislocation and to report the associated magnetic resonance imaging (MRI) findings. All 5 dogs in this case series underwent 1.5 T MRI of the head and neck and 3 underwent both MRI and computed tomography (CT). Atlanto-occipital dislocations were diagnosed based on the increased joint space between the occipital condyles and the atlas on MRI. Surgery was performed immediately with a never previously described fixation technique based on an external ligature. The stabilization was performed via 4 holes drilled in the zygomatic processes and in the atlas wings on each side. A nylon monofilament of 1 mm diameter was inserted in the 4 holes, and an O-shaped ligature was carried out externally to the skin through the ipsilateral zygomatic arch. Ligatures were removed within 2 months. At the postsurgical follow-up examination, 14 days after surgery, all dogs were found to be ambulatory. Atlanto-occipital stability was assessed by clinical examination with an average of 24 months of follow-up. The positive outcomes in this case series suggest that atlanto-occipital dislocation may be surgically treated with this novel technique, irrespective of the severity of the clinical presentation and associated lesions observed on MRI.
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- 2016
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42. Genetic and phenotypic parameters associated with soybean progenies in a recurrent selection program.
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Oliveri Soares, Igor, Cristina Bianchi, Mariane, Teodoro Bruzi, Adriano, de Siqueira Gesteira, Gabriel, Barroso Silva, Karina, Roberta Guilherme, Scheila, and Cianzio, Silvia R.
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- *
EXPECTED returns , *PLANT breeding , *GENETIC correlations , *GRAIN yields , *CROPS - Abstract
The aim of this study was to estimate genetic and phenotypic parameters associated with progenies from the recurrent selection program for grain yield in soybean. The evaluation of S0:1 progenies was in Lavras in the 2015/2016 crop year. The S0:2 progenies were evaluated in Lavras, Nazareno, and Itutinga. The S0:3 progenies were evaluated in Lavras, Ijaci, and Itutinga in the following crop years. The following traits were evaluated: days to flowering, days to full maturity, bottom pod height, plant height, lodging, and grain yield. The expected gain and gain achieved from selection, genetic correlation, and correlated response were estimated. The variance components show variability among the progenies. It was possible to obtain gains from selection for grain yield for all selection intensities (1, 5, 10, 15, 20, 25, and 30%). The variability and the high performance of the progenies indicate that implementation of the recurrent selection program can be successful. [ABSTRACT FROM AUTHOR]
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- 2020
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43. Occupational therapy and action in social vulnerability contexts: proximities and distinctions between the social field and the primary health care area
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Ana Paula Serrata Malfitano and Pamela Cristina Bianchi
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Social Occupational Therapy ,Social Vulnerability ,lcsh:Therapeutics. Pharmacology ,Primary Health Care ,Occupational Therapy/Trends ,lcsh:R ,lcsh:RM1-950 ,lcsh:Medicine - Abstract
In the scenario of the Brazilian social reality urban centers are characterized by high socioeconomic inequality, this fact makes social/health professionals of many areas, including occupational therapists, take part in social vulnerability contexts. Thus, the objective of this study was to approach and identify interventions in social occupational therapy and primary health care in order to verify the proximities and distinctions between the actions, when performed in social vulnerability contexts. This research was carried out in São Carlos, state of São Paulo, based on semi-structured interviews with all occupational therapists working in the selected areas: six therapists working in the social field and five from the primary health care area. We have also observed in situ the activities of occupational therapists in the social and primary health care areas. Based on the observation of the occupational therapists’ practices and on the thematic analysis of their speech, we found a significant difference between the objectives and resources used, even when performed in the same territory of social vulnerability. It was possible to conclude that there are clear specificities in each field, and that it is necessary to identify the differences and objectives of each intervention. The understanding of the practices performed allows us to approach the identity of the professionals and their major viable contributions to different sectors.
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- 2013
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44. PKHhigh cells within clonal human nephrospheres provide a purified adult renal stem cell population
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Giorgio Cattoretti, Vitalba Di Stefano, Paola Zordan, Maria A. Zipeto, Cristina Bugarin, Cristina Bianchi, Silvia Bombelli, P Viganò, Guido Strada, Giorgio Bovo, Roberto A. Perego, Barbara Torsello, Bombelli, S, Zipeto, M, Torsello, B, Bovo, G, DI STEFANO, V, Bugarin, C, Zordan, P, Viganò, P, Cattoretti, G, Strada, G, Bianchi, C, and Perego, R
- Subjects
nephrosphere ,Cellular differentiation ,Transplantation, Heterologous ,Cell Culture Techniques ,Mice, Nude ,Biology ,Kidney ,self-renewal ,Mice ,Antigens, CD ,Cancer stem cell ,Neurosphere ,Animals ,Humans ,AC133 Antigen ,Organic Chemicals ,Cell potency ,Cells, Cultured ,Renal stem cell ,Fluorescent Dyes ,Glycoproteins ,PKH ,Medicine(all) ,CD24 Antigen ,Cell Differentiation ,General Medicine ,Cell Biology ,adult stem cell ,Cell biology ,multipotency ,Endothelial stem cell ,Adult Stem Cells ,Phenotype ,Stem cell ,Peptides ,Adult stem cell ,Developmental Biology - Abstract
The existence and identification of adult renal stem cells is a controversial issue. In this study, renal stem cells were identified from cultures of clonal human nephrospheres. The cultured nephrospheres exhibited the activation of stem cell pathways and contained cells at different levels of maturation. In each nephrosphere the presence of 1.12-1.25 cells mirroring stem cell properties was calculated. The nephrosphere cells were able to generate three-dimensional tubular structures in 3D cultures and in vivo. In clonal human nephrospheres a PKHhigh phenotype was isolated using PKH26 epifluorescence, which can identify quiescent cells within the nephrospheres. The PKHhigh cells, capable of self-renewal and of generating a differentiated epithelial, endothelial and podocytic progeny, can also survive in vivo maintaining the undifferentiated status. The PKHhigh status, together with a CD133+/CD24- phenotype, identified a homogeneous cell population displaying in vitro self-renewal and multipotency capacity. The resident adult renal stem cell population isolated from nephrospheres can be used for the study of mechanisms that regulate self-renewal and differentiation in adult renal tissue as well as in renal pathological conditions. © 2013 Elsevier B.V.
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- 2013
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45. The occupational therapist in Primary Health Care: representation in journals and Brazilian congresses
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Bianca Gonçalves de Carrasco Bassi, Ana Paula Serrata Malfitano, and Pamela Cristina Bianchi
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Publications for Science Dissemination ,lcsh:Therapeutics. Pharmacology ,Occupational Therapy ,Primary Health Care ,lcsh:R ,lcsh:RM1-950 ,lcsh:Medicine - Abstract
In the 2000’s, supported by governmental investments in the Family Health Strategy, reflections onthe subject of Primary Health Care (PHC) began to arise, which in Brazil was called Basic Health Care. As partof the research in the Primary Health Care matter, an analysis on the occupational therapy work in this contextwas carried out. This article seeks to present a discussion map of the category about its intervention in the areabased in two national Journals of Occupational Therapy and the main local forum of discussion, the Brazilian Congress of Occupational Therapy. Articles with this thematic published between 2000 and 2011, as well as thescientific knowledge presented in the last seven congresses (1999-2011) were searched. Twenty-one full articleson this theme published in specialized Periodicals during this period were selected. The investigation showed thatmost articles related to the assistance of the occupational therapist to disabled people in Primary Health Care,mainly results of research and education studies carried out by universities from the State of Sao Paulo. Withrespect to the papers presented in the congresses, from a total of 3755, 191 (5%) scientific congress presentationsconcerned Primary Health Care. Results showed an increase in the discussions on this theme during the studyperiod. It was possible to conclude that more importance has been given to this theme and more comprehensiveresearches are needed to support knowledge improvement in this field.
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- 2012
46. Pathogenetic Mechanisms and Cardiovascular Risk
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Simona Frontoni, Roberto Miccoli, M. A. Dolci, Riccardo C. Bonadonna, Giulio Marchesini, Francesco Giorgino, Franco Cavalot, Emanuela Faloia, Gisella M. Cavallo, Cristina Bianchi, Frida Leonetti, and Stefano Del Prato
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Adult ,Male ,medicine.medical_specialty ,Cardiovascular and Metabolic Risk ,endocrine system diseases ,Endocrinology, Diabetes and Metabolism ,Prediabetic State ,chemistry.chemical_compound ,Insulin resistance ,Internal medicine ,Diabetes mellitus ,Internal Medicine ,medicine ,Humans ,Prediabetes ,Risk factor ,Original Research ,Advanced and Specialized Nursing ,Glycated Hemoglobin ,Glucose tolerance test ,medicine.diagnostic_test ,C-Peptide ,C-peptide ,business.industry ,Type 2 Diabetes Mellitus ,nutritional and metabolic diseases ,Glucose Tolerance Test ,Middle Aged ,medicine.disease ,Endocrinology ,chemistry ,Diabetes Mellitus, Type 2 ,Cardiovascular Diseases ,Female ,Glycated hemoglobin ,Insulin Resistance ,business - Abstract
OBJECTIVE To ascertain to which extent the use of HbA1c and oral glucose tolerance test (OGTT) for diagnosis of glucose tolerance could identify individuals with different pathogenetic mechanisms and cardiovascular risk profile. RESEARCH DESIGN AND METHODS A total of 844 subjects (44% men; age 49.5 ± 11 years; BMI 29 ± 5 kg/m2) participated in this study. Parameters of β-cell function were derived from deconvolution of the plasma C-peptide concentration after a 75-g OGTT and insulin sensitivity assessed by homeostasis model assessment of insulin resistance (IR). Cardiovascular risk profile was based on determination of plasma lipids and measurements of body weight, waist circumference, and blood pressure. Glucose regulation categories by OGTT and HbA1c were compared with respect to insulin action, insulin secretion, and cardiovascular risk profile. RESULTS OGTT results showed 42% of the subjects had prediabetes and 15% had type 2 diabetes mellitus (T2DM), whereas the corresponding figures based on HbA1c were 38 and 11%, with a respective concordance rate of 54 and 44%. Subjects meeting both diagnostic criteria for prediabetes presented greater IR and impairment of insulin secretion and had a worse cardiovascular risk profile than those with normal glucose tolerance at both diagnostic methods. In a logistic regression analyses adjusted for age, sex, and BMI, prediabetic subjects, and even more T2DM subjects by OGTT, had greater chance to have IR and impaired insulin secretion. CONCLUSIONS HbA1c identifies a smaller proportion of prediabetic individuals and even a smaller proportion of T2DM individuals than OGTT, with no difference in IR, insulin secretion, and cardiovascular risk profile. Subjects fulfilling both diagnostic methods for prediabetes or T2DM are characterized by a worse metabolic profile.
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- 2012
47. Nicotinic receptor activation in perirhinal cortex and hippocampus enhances object memory in rats
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Sarah M. Ernst, Cristina Bianchi, Boyer D. Winters, Kevin S. Elliott, and Ashley M. Melichercik
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Cerebral Cortex ,Male ,Pharmacology ,Spatial Behavior ,Hippocampus ,Recognition, Psychology ,Receptors, Nicotinic ,Hippocampal formation ,Spatial memory ,Rats ,Temporal lobe ,Nicotine ,Cellular and Molecular Neuroscience ,medicine.anatomical_structure ,Nicotinic agonist ,Cerebral cortex ,Perirhinal cortex ,Exploratory Behavior ,medicine ,Animals ,Rats, Long-Evans ,Psychology ,Neuroscience ,medicine.drug - Abstract
The perirhinal cortex (PRh) and its cholinergic inputs are implicated in object recognition memory. Conversely, the hippocampus (HPC) may be involved in spatial recognition processes that are not essential to the recognition of objects per se. Systemic nicotine has been shown to facilitate both object and spatial memory. The current study compared the roles of perirhinal and hippocampal nicotinic acetylcholine receptors (nAChRs) in object and spatial recognition memory using spontaneous object recognition (SOR) and object-location (OL) tasks for rats. Systemic pre-sample (acquisition) nicotine administration dose-dependently facilitated SOR and OL performance compared to vehicle conditions in which performance was at chance with a 72-h retention delay between the sample and choice phases. Subsequently, pre-sample intra-PRh infusions of nicotine significantly facilitated SOR; somewhat surprisingly, pre-sample intra-HPC nicotine also enhanced object recognition memory. Further experiments indicated facilitative effects on OL performance caused by pre-sample intra-PRh or intra-HPC nicotine administration. These results not only demonstrate that nAChR activation facilitates performance on object recognition and object-location memory tasks, but suggest that these effects can be produced by nAChR action in either PRh or HPC. Thus, although PRh and HPC are not required for OL or SOR task performance, respectively, nAChR-mediated enhancement of neural function in either of these temporal lobe regions appears capable of promoting stronger memory encoding and/or consolidation in either task. These findings further support the supposed interactive relationship between the HPC and PRh in object information processing and highlight the potential therapeutic value of nicotinic receptor activation in amnesic disorders.
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- 2012
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48. A case of d-bifunctional protein deficiency: Clinical, biochemical and molecular investigations
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Maria Cristina Bianchi, Antonio Boldrini, Ronald J.A. Wanders, M Vuerich, Sacha Ferdinandusse, Hans R. Waterham, Paolo Ghirri, and Andrea Guzzetta
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D-bifunctional protein deficiency ,Peroxisomal Multifunctional Protein-2 ,Fatal outcome ,Biochemistry ,business.industry ,Pediatrics, Perinatology and Child Health ,MEDLINE ,Medicine ,business ,medicine.disease - Published
- 2011
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49. Blood Glucose Control and Coronary Heart Disease
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Giuseppe Penno, Roberto Miccoli, Cristina Bianchi, and Stefano Del Prato
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medicine.medical_specialty ,Population ,Comorbidity ,Coronary Artery Disease ,Disease ,Type 2 diabetes ,Diabetes Complications ,Internal medicine ,Diabetes mellitus ,medicine ,Humans ,coronary heart disease ,Risk factor ,education ,blood glucose control ,Glycemic ,education.field_of_study ,Framingham Risk Score ,business.industry ,Incidence ,medicine.disease ,Hyperglycemia ,Cardiology ,Cardiology and Cardiovascular Medicine ,business - Abstract
Epidemiologic data support the hypothesis of a direct and independent relationship between hyperglycemia and cardiovascular disease. The lack of a clear-cut threshold value in diabetic patients, and the persistence of the relationship in nondiabetic population as well, suggest that glycemia is a continuous variable, similarly to other cardiovascular risk factors. Moreover, increased plasma glucose levels contribute to cardiovascular risk by activating multiple atherogenic mechanisms. In spite of evident plausibility for hyperglycemia as a cardiovascular risk factor per se, intervention data remain controversial. Results of recent large-scale intervention trials, such as ACCORD, ADVANCE, and VADT, seem to undermine the concept that tight glycemic control confers some protection against cardiovascular disease in patients with type 2 diabetes, while maintenance of near-normal glycemic control from earlier stage of the disease and during acute coronary events seems to be more beneficial. However, individualized therapies remain the cornerstone of strategies aimed to reduce cardiovascular risk associated to hyperglycemia.
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- 2010
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50. Serum gamma-glutamyltransferase levels are related to insulin sensitivity and secretion in subjects with abnormal glucose regulation
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Giuseppe Penno, Annalisa Agostini, Cristina Bianchi, Giuseppe Daniele, I. Crisci, Stefano Del Prato, and Roberto Miccoli
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Adult ,Blood Glucose ,Male ,medicine.medical_specialty ,endocrine system diseases ,Endocrinology, Diabetes and Metabolism ,Body Mass Index ,Impaired glucose tolerance ,Endocrinology ,Insulin resistance ,Internal medicine ,Diabetes mellitus ,Glucose Intolerance ,Insulin Secretion ,Internal Medicine ,medicine ,Humans ,Insulin ,Aspartate Aminotransferases ,Analysis of Variance ,business.industry ,Patient Selection ,nutritional and metabolic diseases ,Type 2 Diabetes Mellitus ,Alanine Transaminase ,gamma-Glutamyltransferase ,Glucose Tolerance Test ,Middle Aged ,Impaired fasting glucose ,medicine.disease ,Cross-Sectional Studies ,Logistic Models ,Quartile ,Area Under Curve ,Female ,Blood sugar regulation ,Insulin Resistance ,Waist Circumference ,business ,Body mass index - Abstract
Background To test the association between gamma-glutamyltransferase level and glucose regulation. Methods We performed a cross-sectional analysis of 500 subjects [199 men/301 women, age 47 ± 11 years, body mass index (BMI) 28.6 ± 5.5 kg/m2] referred to Diabetes Clinics because of potential risk of type 2 diabetes mellitus (T2DM). Results The prevalence of all glucose intolerance categories was higher in the top quartile of gamma-glutamyltransferase than in the first. Subjects with normal glucose tolerance showed lower gamma-glutamyltransferase levels compared with those with impaired glucose tolerance (IGT), impaired fasting glucose (IFG)+ IGT and T2DM (ANOVA, p < 0.0001), but not those with IFG. Homeostasis model assessment-insulin resistance (HOMA-IR) increased with increasing levels of gamma-glutamyltransferase, while the insulinogenic index/HOMA-IR ratio decreased. In an age- and sex-adjusted analysis, the top gamma-glutamyltransferase quartile was independently associated with IFG + IGT [odds ratio (OR) 2.41; 95% confidence interval (CI): 1.13–5.15] and T2DM (OR 2.77; 95% CI: 1.47–5.22). After further adjustment for BMI, alcohol intake, family history of diabetes, cigarette smoking and physical activity, the top quartile of gamma-glutamyltransferase remained an independent predictor of IFG + IGT (OR 2.62; 95% CI: 1.13–6.07) and T2DM (OR 2.39; 95% CI: 1.20–4.76). Only when transaminases and HOMA-IR have been added to the model, the top quartile of gamma-glutamyltransferase resulted no more independently associated to IFG + IGT or T2DM. Conclusions Gamma-glutamyltransferase is closely related to insulin resistance, reduced beta-cell function and deterioration of glucose tolerance. Copyright © 2010 John Wiley & Sons, Ltd.
- Published
- 2010
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